Can You Inject Botox and Filler at the Same Time in the Same Place?

Thank you for the question.
You can combine injectables to personalize your treatment.  I perform this as part of a "Liquid Lift".  Neuromodulators like Botox can relax frown lines and hyaluronic acid injectables can lift the crease left behind.  Studies have shown that the results of hyaluronic acid injectables last longer when used in tandem with Botox.
As always, an in-person consultation with a board certified dermatologist with cosmetic training is the best way to assess your needs and provide medical advice. 

If the vertical lines between the eyebrows are very deep, they may need filler to help flatten them, but if you are not in a rush, and can wait for several sessions of Botox to keep the muscles relaxed (usually reinject every four months), the lines may fade away. If you wish to have the lines go away faster, I would normally recommend evaluating the result of the Botox two weeks after the injection before a filler is placed, unless you have a social function in the near future and wish to look your best for it. In that event, I would inject the filler first, and immediately after place the Botox to avoid displacement of the Botox that could occur if the order were reversed.

Yes, the two can be done at the same time, butI often have my patients stage it. The Botox is a paralytic, and will prevent you from making the wrinkle.  Once it is in effect ( a week), I then use the filler to mask the lines.  Sometimes, if you do them at the same time, you push the filler out of the way everytime you make that wrinkle because the muscle is still active ( it takes 3-5 days for the Botox to kick in).  I hope this helps.

Yes, it can be done in cases when the lines are very deep. The initial response from Botox will show how much improvement can be achieved by paralyzing the muscle. If the groove has been there for a long time the it will also need a filler to fill it up.

Ideally I like to try Botox first and after about two weeks assess the area for the need for a filler.

Regards

I would like to inject botox first and then filler at a later time for optimal results.  The botox will help to really relax the lines and the filler can give the total correction, or the correction that the botox can not achieve.

Good luck.

For vertical lines in the central forhead region (glabella), the treatment of choice is Botox.  However, for very deeply etched lines, a filler may also be indicated to efface the lines; a hyaluronic acid (HA) filler is the best choice for this option. However, the glabella has relatively superficial vascular supply and skin necrosis has a higher incidence of this complication than other areas of the face.

However, if this is the first time you are getting the service, I would recommend first having BOTOX and see how much improvement is obtained.  This will reduce the total amount of filler that is needed.  Typically the filler would be done about 3 weeks later.  This staged approach is a good idea because too much filler in the glabellar area has been associated with skin damage from disrupting the microcirculation in this central brow area.  So a conservative approach is a good idea.

The frown are is a very common place to use the 2 products simultaneously. In fact, many patients get a 9 month frown line resolution when filler and botox are used together. There are no issues related to this combined technique.

Best of Luck

can be injected in the same session, even in the same area. Sometimes it is worth waiting for the Botox effect before using Juvederm 

You can inject BOTOX and filler at the same time in the same place, but they are usually injected into different planes of the tissue. Even though they are injected into the same areas of your face, one is injected into the muscle and one may be injected under the skin or in the skin.